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Remote Utilization Review Jobs in Texas (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

Performs utilization review of cases to determine if the request meets medical necessity criteria ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · On-site +1

$65K - $75K/yr

S. • Minimum of one (1) year experience in utilization review, or utilization management • ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

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How much do remote utilization review jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for remote utilization review in Texas is $39.39, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.24 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Utilization Review position, and why are they important?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What does a typical day look like for someone in a Remote Utilization Review role?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What is a Remote Utilization Review job?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What are the most commonly searched types of Utilization Review jobs in Texas? The most popular types of Utilization Review jobs in Texas are:
What are popular job titles related to Remote Utilization Review jobs in Texas? For Remote Utilization Review jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Texas look for? The top searched job categories for Remote Utilization Review jobs in Texas are:
What cities in Texas are hiring for Remote Utilization Review jobs? Cities in Texas with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Texas as of July 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 100% Remote job distribution, with an average salary of $81,936 per year, or $39.4 per hour.
Gastroenterology (MD/DO) Utilization Review - Remote - Contract (1099)

Gastroenterology (MD/DO) Utilization Review - Remote - Contract (1099)

Medical Review Institute of America

Dallas, TX • Remote

Contractor

This job post has expired today. Applications are no longer accepted.

Medical Review Institute of America rating

8.0

Company rating: 8.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

106th of 451 rated business services

Job description

Gastroenterology Utilization Review - Remote - Contract (1099)

Join to apply for the Gastroenterology Utilization Review - Remote - Contract (1099) role at Medical Review Institute of America.

Flexible Independent Contractor (1099) Remote Opportunity

Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.

The Opportunity

We are currently seeking Board-Certified physicians in Gastroenterology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1–2 hours per week— with no minimum commitment.

Additional Information
  • Work remotely from anywhere in the US (Under HIPAA Regulations patient records cannot leave the US).
  • Covered under MRIoA's Errors and Omissions policy.
  • Independent Contractor (1099) opportunity.
  • Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
Required Qualifications
  • Must have a Medical Degree (MD or DO).
  • Must have a current STATE medical license in OREGON.
  • Current Board Certification in Dermatology.
  • Must have 5 years of clinical experience residency to be included.
  • Daytime availability is required for peer-to-peer conversations.

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